B G Manejwala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D13671 Issued in MD

Practice address

14201 Laurel Park Dr
Suite 102
Laurel, MD 20707-5203

Phone

(301) 490-0616

Fax

(301) 490-1193

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Armstrong and Manejwala, M.D.P.a

  • Internal Medicine Physician
  • Laurel, MD
  • NPI 1356437222
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841304367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-490-0616",
            "fax_number": "301-490-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-490-0616",
            "fax_number": "301-490-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEJWALA",
        "first_name": "B",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D13671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11573",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komal A. Malik, MD
• Agnes Foncha Malung
• Ibrahim Mamadou
• Oliver Munteh Mambong
• Zamantha Rose Manalansan-Roberson
• Stella Manfouo
• Hedwig E Manga Williams, NP-C
• Donatus Manget
• Donna Marie Mangum Gibbons, P.T.
• Taniform Edwine Mangwa, HHA

• Internal Medicine Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.